Home Depot Employment Practices Questionnaire for Current and Former California Employees

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WE WILL TREAT THIS INFORMATION AS CONFIDENTIAL TO THE FULL EXTENT ALLOWED BY LAW, however we are not committing to taking on any case or legal work for you.

THE PURPOSE OF THIS QUESTIONNAIRE IS TO INVESTIGATE EMPLOYMENT PRACTICES OF THE HOME DEPOT REGARDING EMPLOYEES WHO ARE 40 YEARS OLD OR OLDER

Deskin Law Firm PLC, Schonbrun DeSimone Seplow Harris Hoffman & Harrison LLP, and Spiro Moss LLP have clients who are former employees of The Home Depot in California. On their behalf, we are investigating the situations of other current and former employees of The Home Depot who are 40 years or older.

You will not be charged for speaking with us or for anything at all. You will have no obligation to participate in any investigation of legal proceeding, or to do anything else.

Full Name: *

Your Email Address: *

Your Mailing Address:

Your Phone Number: *

Your Secondary Phone Number:

Your Age: *

Your Job Title(s) While Employed at Home Depot: *

Please type your job title and the approximate periods of time that you held the title(s).

Which Home Depot Store(s) Have You Worked?:

How long have you been an employee of Home Depot?: *

How would you rate your job performance prior to your termination?: *

Poor

Fair

Good

Excellent

If you believe you were treated unfairly, please explain why.:

If you were terminated, what was the reason given to you upon termination?:

Was your position replaced by a younger work?:

Yes.

No.

The position has not been refilled.

I don't know.

Other.

Have you had an increase in performance/disciplinary notices recently?:

Yes

No

Are there others you think we should contact?:

Please provide names and phone numbers of people who you think have information about The Home Depot's employment practices.